SAMANTHA ROBYN ANDERSON DNP
NPI 1144868605
Nurse Anesthetist, Certified Registered in Provo, UT
About Samantha Robyn Anderson Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA ROBYN ANDERSON DNP (NPI 1144868605) is an individual nurse anesthetist, certified registered in Provo, Utah, licensed in Utah (12727407-4406) and active in the NPI registry since December 2019. She maintains a secondary practice location in Scottsdale and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Robyn Anderson Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Samantha Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sandy, UT 84092
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Scottsdale, AZ 85259
- Reassigned Medicare billing, Arizona enrollment
- 1,792 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samantha Anderson's NPI number?
The NPI number for Samantha Anderson is 1144868605. It was assigned to this individual provider in the NPPES registry on December 16, 2019.
Where is Samantha Anderson located?
Samantha Anderson practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (608) 695-0168.
What is Samantha Anderson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Samantha Anderson enrolled in Medicare?
Yes. Samantha Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Samantha Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Anderson reassigns Medicare benefits to 2 organizations: University Of Utah Adult Services (Sandy, UT) and Mayo Clinic Arizona (Scottsdale, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samantha Anderson was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Samantha Robyn Anderson, DNP · NPI 1144868605
Nurse Anesthetist, Certified Registered physician in Provo, Utah. Individual provider, active in the CMS NPPES registry since December 16, 2019.
## Identity
- **NPI:** 1144868605 (Entity type: Individual)
- **Enumerated:** December 16, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 12727407-4406 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1034 N 500 W, Provo, UT 84604-3380
- **Phone:** (608) 695-0168
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Utah Adult Services (NPI 1851904247, Sandy, UT); Mayo Clinic Arizona (NPI 1558332494, Scottsdale, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 26, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1144868605) · Data from the CMS NPPES public registry.